A protective genetic variant for adverse environments? The role of childhood traumas and serotonin transporter gene on resilience and depressive severity in a high-risk population

Eur Psychiatry. 2011 Nov;26(8):471-8. doi: 10.1016/j.eurpsy.2011.04.008.

Abstract

Genetic aspects may influence the effect of early adverse events on psychological well being in adulthood. In particular, a common polymorphism within the serotonin transporter gene (5-HTTLPR short/long) has been associated to the risk for stress-induced psychopathology. In the present study we investigated the role of childhood traumas and 5-HTTLPR on measures of psychological resilience and depression in a sample of individuals at a high risk for psychological distress (763 male prisoners). The 5-HTTLPR genotype did not influence resilience and depressive severity. However, a significant interaction was observed between 5-HTTLPR and childhood traumas on both resilience and depressive severity. In particular, among subjects exposed to severe childhood trauma only, the long-allele was associated to lower resilience scores and increased current depressive severity as compared to short/short homozygous. Sex specific effects, difference in type and duration of stressors and the specific composition of the sample may explain discrepancy with many studies reporting the short-allele as a vulnerability factor for reactivity to stress. We here speculated that in males the long-allele may confer lower resilience and therefore higher vulnerability for depressive symptoms in subjects exposed to early stress and currently living in stressful environments.

MeSH terms

  • Adult
  • Adult Survivors of Child Abuse / psychology*
  • Depressive Disorder* / etiology
  • Depressive Disorder* / genetics
  • Depressive Disorder* / psychology
  • Gene-Environment Interaction*
  • Genetic Predisposition to Disease / psychology
  • Humans
  • Life Change Events
  • Male
  • Middle Aged
  • Polymorphism, Genetic
  • Psychopathology / methods
  • Resilience, Psychological*
  • Risk Factors
  • Serotonin Plasma Membrane Transport Proteins / genetics*
  • Severity of Illness Index
  • Stress, Psychological / complications*

Substances

  • SLC6A4 protein, human
  • Serotonin Plasma Membrane Transport Proteins